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Health and Safety
Patient Satisfaction Survey Checklist

Patient Satisfaction Survey Checklist

Run this checklist during patient treatment to determine the level of patient satisfaction with the medical care provided.
1
Introduction:
2
Record basic details
3
Questionnaire:
4
Doctors are clear when explaining the reason for medical tests
5
My doctor's office has everything needed to provide complete medical care
6
The medical care I have been receiving is just about perfect
7
Doctors do not make me wonder if their diagnosis is correct
8
I feel confident that I can get the medical care I need without being set back financially
9
I do not have to pay more than I can afford for my medical care
10
I have easy access to the medical specialists I need
11
Where I get medical care, people do not have to wait too long for emergency treatment
12
My doctors treat me in a very friendly and courteous manner
13
Those who provide my medical care show patience and respect
14
Doctors do not ignore what I tell them
15
I trust the ability of the doctors who treat me
16
It's easy to get an appointment for medical care right away
17
I am satisfied with the medical care I receive
18
I am able to get medical care whenever I need it
19
Final thoughts:
20
Disclose any additional comments from the patient
21
Sources:
22
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